Natura Montessori Academy

• EQUIPMENT AND FURNISHINGS

  A licensee must ensure that the community care facility and the furniture, equipment and fixtures within it are clean and in good repair while children are in attendance.

  Observation. A window in the outdoor play space is painted with blackboard paint which is chipping in an area accessible to children.

  11020 - CCLR s.13(2)
• STAFFING

  A licensee must not employ a person in a community care facility as (a) an educator or an assistant unless the person holds a certificate issued under Division 2 [Employee Qualifications], which must be verified by the system maintained by the early childhood educator registry. (Educator or assistant certificate validation)

  Observation. Of the five staff files reviewed, one did not contain certificate verification.

  12140 - CCLR s.19(4)(a)
• STAFFING

  A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: (f) evidence that the person has complied with the Province's immunization and tuberculosis control programs.

  Observation. Of the five staff files reviewed, one did not contain immunization records.

  12090 - CCLR s.19(1)(f)
• STAFFING

  A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: (c) a record of the person's work history.

  Observation. Of the five staff files reviewed, one did not contain a person's work history.

  12060 - CCLR s.19(1)(c)
• STAFFING

  A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: (b) character references in respect of the person.

  Observation. Of the five staff files reviewed, two did not contain character references.

  12050 - CCLR s.19(1)(b)
• STAFFING

  A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: (a) a criminal record check for the person.

  Observation. Of the five staff files reviewed, one did not contain a site specific CRC obtained by the licensee and one did not contain a CRC at all.

  12040 - CCLR s.19(1)(a)

• LICENSING

  A licensee must display in a prominent place in the community care facility the certificate, or a copy of the certificate, of any educator or assistant employed to work in the community care facility.

  Observation. Not all staff certificates were posted within the facility.

  Corrective action. Ensure all qualified staff certificates are posted within the facility.

  10070 - CCLR s.11(4)
• STAFFING

  A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: (a) a criminal record check for the person.

  Observation. Some Criminal Record Checks for staff are not site specific.

  Corrective action. Ensure all staff files are complete including CRC's.

  12040 - CCLR s.19(1)(a)
• STAFFING

  A licensee must not employ a person in a community care facility as (a) an educator or an assistant unless the person holds a certificate issued under Division 2 [Employee Qualifications], which must be verified by the system maintained by the early childhood educator registry. (Educator or assistant certificate validation)

  Observation. Staff files were reviewed. Not all staff members have their ECE Certificates validated from the ECE Registry.

  Corrective action. Ensure staff files are complete including ECE Validation from the ECE Registry.

  12140 - CCLR s.19(4)(a)

No violations recorded at this inspection.

• EQUIPMENT AND FURNISHINGS

  A licensee must ensure that all indoor and outdoor play materials and equipment accessible to children are (b) safely constructed, free from hazards and in good repair.

  Observation. The outdoor play area had the following hazards present at the time of the inspection; - garbage and debris present, full garbage can - tripping hazards on the ground in several areas from loose landscape tarp paper - broken toys stored on the playground - tarp stored on the playground - several dead shrubs which are intended to damper the sound of the neighboring roadway - resilient surfacing under a dome climber not sufficient to support children using the equipment - weeds and foliage that could case injury present and at child's height The indoor programs had the following hazards accessible at the time of the inspection; - staff coffee cups accessible - cleaning rags being re-used several times a day - stools in the washrooms dirty - cabinet in washroom not locked with cleaning products stored - storage of equipment/resources stacked too high in one program - food storage in the kitchen not effective to deter rodents The LO reviewed these items with the Licensee at the time of the inspection.

  Corrective action. Ensure indoor and outdoor play equipment assessable is safely constructed, free from hazards and in good repair at all times.

  11190 - CCLR s.16(4)(b)
• EQUIPMENT AND FURNISHINGS

  A licensee must ensure that each piece of furniture or equipment for sleeping (b) is clean and comfortable.

  Observation. Children in the programs were observed sleeping directly on plastic mats without suitable linen covering the mats. The LO reviewed the suitability of this practices at the time of the inspection.

  Corrective action. Ensure equipment for sleeping is clean and comfortable.

  11110 - CCLR s.15(2)(b)
• LICENSING

  A licensee must display in a prominent place in the community care facility both the licence, including any terms or conditions of the licence, and the name of the manager.

  Observation. The name of the facility manager is not posted near the Community Care Facility License within the facility.

  Corrective action. Ensure the name of the manager is displayed in a prominent place in the facility.

  10050 - CCLR s.11(1)
• LICENSING

  A licensee must display in a prominent place in the community care facility the certificate, or a copy of the certificate, of any educator or assistant employed to work in the community care facility.

  Observation. Not all qualified staff working in the program at the time of the inspection had their certificates posted within the facility.

  Corrective action. Ensure all educators or assistants certificates must be displayed in the facility.

  10070 - CCLR s.11(4)
• NUTRITION AND FOOD SERVICES

  A licensee must (b) promote healthy eating and nutritional habits.

  Observation. Lunch kits observed during the inspection had perishable food items stored in the kits without the support of ice packs resulting in potential for spoiled food to be consumed by the children in care.

  Corrective action. Ensure healthy eating and nutritional habits are promoted.

  17020 - CCLR s.48(1)(b)
• POLICIES AND PROCEDURES

  A licensee must: (b) have an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.

  Observation. Fire extinguishers in the facility were observed to be expired.

  Corrective action. Ensure the facility is able to prepare, mitigate and respond to an emergency.

  13020 - CCLR s.22(1)(b)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (g) any notification of a parent, emergency contact or medical health officer made under section 55 [notification of illness or injury].

  Observation. Six children's files were reviewed and several children did not have evidence of emergency consent available.

  Corrective action. Ensure all children's files are complete including emergency consent.

  19130 - CCLR s.57(2)(g)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner and emergency contact.

  Observation. Six children's files were reviewed and several were missing Dr's name and contact details.

  Corrective action. Ensure all children's files are complete including Dr's name and contact details.

  19100 - CCLR s.57(2)(d)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (c) daily attendance record, indicating for each day whether the child is absent or, if the child is present, the time of arrival and departure. Observation (CORRECTED DURING INSPECTION): The facility uses an app to record attendance. At the time of the inspection children were not accurately recorded on the app or in the correct classrooms. The LO reviewed the movement of children throughout the facility at the time of the inspection as an additional safety concern related to accurate attendance.

  Corrective action. Ensure accurate attendance is maintained including absence, location, and the time of arrival and departure.

  19090 - CCLR s.57(2)(c)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (b) date of enrolment in the community care facility.

  Observation. Six children's files were reviewed and several were missing enrollment dates on the files.

  Corrective action. Ensure all children's files are complete including enrollment dates.

  19080 - CCLR s.57(2)(b)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (a) name, sex, date of birth, medical insurance plan number and immunization status.

  Observation. Six children's files were reviewed and several files did not have evidence of MSP# or Immunization Status.

  Corrective action. Ensure all children's files are complete including MSP# and Immunization Status.

  19070 - CCLR s.57(2)(a)
• RECORDS AND REPORTING

  A licensee must keep current records of each of the following: (f) a log of minor accidents, illnesses and unexpected events involving children, that did not require medical attention and were not reportable incidents described in Schedule H.

  Observation. Some log books in the facility are not being used on a regular basis.

  Corrective action. Ensure a long of minor incidents are used on a regular basis by all programs.

  19050 - CCLR s.56(1)(f)
• STAFFING

  A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: (a) a criminal record check for the person.

  Observation. Two staff working on the day of the inspection did not have CRC's available for review.

  Corrective action. Ensure all staff have complete files which included valid Criminal Record Check results.

  12040 - CCLR s.19(1)(a)
• STAFFING

  A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: (b) character references in respect of the person.

  Observation. Four staff files were reviewed and references were not confirmed to be checked.

  Corrective action. Ensure staff files are complete including references confirmed and documented.

  12050 - CCLR s.19(1)(b)
• STAFFING

  A licensee must not employ a person in a community care facility as (a) an educator or an assistant unless the person holds a certificate issued under Division 2 [Employee Qualifications], which must be verified by the system maintained by the early childhood educator registry. (Educator or assistant certificate validation)

  Observation. One staff did not have current ECE validation information available.

  Corrective action. Ensure all staff files are complete including validating ECE certificates through the ECE Registry.

  12140 - CCLR s.19(4)(a)
• STAFFING

  A licensee must ensure that each employee (b) practices implementing the fire drill system at least once each month.

  Observation. Fire drill for the month on September was not confirmed to be conducted or recorded.

  Corrective action. Ensure fire drills are conducted and recorded monthly.

  12190 - CCLR s.22(2)(b)

• EQUIPMENT AND FURNISHINGS

  A licensee must ensure that a healthy and safe environment is provided at all times while children are under the supervision of employees.

  Observation. The outdoor play area had the following hazards present at the time of the inspection; - small shrub with sharp foliage accessible to the children - irrigation system pipe near the entrance posing a tripping hazard - prickle bush creeping over the fence and accessible to the children - several hedges removed and not replaced causing noise and communication concerns LO reviewed these items with the manager a the time of the inspection.

  Corrective action. Ensure a healthy and safe environment is provided at all time.

  11010 - CCLR s.13(1)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner and emergency contact.

  Observation. Six children's files were reviewed and one child did not have evidence of a medical practitioner available.

  Corrective action. Ensure all children's files are complete including Dr's name and contact details.

  19100 - CCLR s.57(2)(d)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (a) name, sex, date of birth, medical insurance plan number and immunization status.

  Observation. Six children's files were reviewed and one child did not have evidence of Medical Insurance Plan number available.

  Corrective action. Ensure all children's files are complete including MSP number.

  19070 - CCLR s.57(2)(a)
• STAFFING

  A licensee must not employ a person in a community care facility as (a) an educator or an assistant unless the person holds a certificate issued under Division 2 [Employee Qualifications], which must be verified by the system maintained by the early childhood educator registry. (Educator or assistant certificate validation)

  Observation. Six staff files were reviewed and two did not have evidence of their certificates being validated from the ECE Registry.

  Corrective action. Ensure all staff files are complete including validation of certificates through the ECE Registry.

  12140 - CCLR s.19(4)(a)
• STAFFING

  A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: (f) evidence that the person has complied with the Province's immunization and tuberculosis control programs.

  Observation. Six staff files were reviewed and two staff did not have evidence of immunization status available.

  Corrective action. Ensure all staff files are complete including immunization status.

  12090 - CCLR s.19(1)(f)

• EQUIPMENT AND FURNISHINGS

  A licensee must ensure that a healthy and safe environment is provided at all times while children are under the supervision of employees.

  Observation. During the inspection the following items were observed for potential hazards to the children in care; - outdoor play area was not inspected for safety prior to the children using the space on the day of the inspection - the gate of the playground is typically locked when the children are using the space which could impede emergency evacuation - the lock on the outdoor shed is damaged which results in the children not able to use the toys and equipment stored within the shed - some debris observed in the outdoor play area - garbage cans inside the facility in several rooms do not appear to be emptied regularly - nap time mats had evidence of not being cleaned from the previous days use - the kitchen light was not operational posing a challenge for food preparation in the space - the kitchen fridge did not have a thermometer stored in it where the facility snack items are stored LO reviewed all of these items with the Licensee at the time of the inspection.

  Corrective action. Ensure a healthy and safe environment is provided at all times.

  11010 - CCLR s.13(1)
• LICENSING

  A licensee must display in a prominent place in the community care facility both the licence, including any terms or conditions of the licence, and the name of the manager.

  Observation. The facility license was posted at the facility entrance however the name of the manager was not posted as per outlined in the regulations.

  Corrective action. Ensure the name of the manager is posted in a prominent place in the facility.

  10050 - CCLR s.11(1)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (i) a photograph or digital image of the child, and other information that can be used to readily identify the child in an emergency.

  Observation. Eight children's files were reviewed and 5 children did not have evidence of photographs available. LO reviewed this with the Licensee during the inspection.

  Corrective action. Ensure all children's files are complete including photo's or digital images.

  19160 - CCLR s.57(2)(i)
• RECORDS AND REPORTING

  A licensee must keep, for each child, a record showing the following information: (a) name, sex, date of birth, medical insurance plan number and immunization status.

  Observation. Eight children's files were reviewed and one child did not have evidence of their MSP# and immunization status available. LO reviewed this with the Licensee during the inspection.

  Corrective action. Ensure all children's files are complete including MSP#'s and immunization status.

  19070 - CCLR s.57(2)(a)
• STAFFING

  A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: (a) a criminal record check for the person.

  Observation. Four staff files were reviewed during the inspection. Two staff did not have facility specific CRC's available and one staff had an RCMP check instead of a CRC. LO reviewed these items with the Licensee during the inspection.

  Corrective action. Ensure all staff files are complete including site specific and suitable Criminal Record Checks.

  12040 - CCLR s.19(1)(a)
• STAFFING

  A licensee must not employ a person in a community care facility as (a) an educator or an assistant unless the person holds a certificate issued under Division 2 [Employee Qualifications], which must be verified by the system maintained by the early childhood educator registry. (Educator or assistant certificate validation)

  Observation. Four staff files were reviewed during the inspection. All staff did not have evidence of the certificated being validated through the ECE registry. LO reviewed this requirement with the Licensee during the inspection.

  Corrective action. Ensure all staff files at complete including ECE certificates validated through the ECE Registry.

  12140 - CCLR s.19(4)(a)